Note 15 - Significant Payors - Revenue from External Customers by Products and Services (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Net service revenues		$ 1,422,530	$ 1,154,599	$ 1,058,651
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member]
Net service revenues		$ 1,089,215	$ 856,581	$ 794,718
Concentration Risk, Percentage		100.00%	100.00%	100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | State, Local, and Other Governmental Programs [Member]
Net service revenues		$ 553,475	$ 456,885	$ 400,753
Concentration Risk, Percentage		50.80%	53.30%	50.40%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Managed Care Organizations [Member]
Net service revenues		$ 501,528	$ 376,604	$ 367,557
Concentration Risk, Percentage		46.00%	44.00%	46.20%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Commercial Insurance [Member]
Net service revenues		$ 5,609	$ 5,593	$ 6,321
Concentration Risk, Percentage		0.50%	0.70%	0.80%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Private Pay [Member]
Net service revenues		$ 27,871	$ 15,589	$ 16,268
Concentration Risk, Percentage		2.60%	1.80%	2.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Other [Member]
Net service revenues		$ 732	$ 1,910	$ 3,819
Concentration Risk, Percentage		0.10%	0.20%	0.60%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member]
Net service revenues		$ 262,542	$ 228,191	$ 207,155
Concentration Risk, Percentage		100.00%	100.00%	100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Medicare [Member]
Net service revenues		$ 244,344	$ 208,099	$ 186,317
Concentration Risk, Percentage		93.10%	91.20%	89.90%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Managed Care Organizations [Member]
Net service revenues		$ 8,155	$ 7,603	$ 7,037
Concentration Risk, Percentage		3.10%	3.30%	3.40%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Commercial Insurance [Member]
Net service revenues		$ 8,558	$ 11,744	$ 12,385
Concentration Risk, Percentage		3.30%	5.20%	6.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Other [Member]
Net service revenues		$ 1,485	$ 745	$ 1,416
Concentration Risk, Percentage		0.50%	0.30%	0.70%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member]
Net service revenues		$ 70,773	$ 69,827	$ 56,778
Concentration Risk, Percentage		100.00%	100.00%	100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Medicare [Member]
Net service revenues		$ 47,701	$ 48,562	$ 41,078
Concentration Risk, Percentage		67.40%	69.50%	72.30%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Managed Care Organizations [Member]
Net service revenues		$ 17,010	$ 17,603	$ 12,613
Concentration Risk, Percentage		24.00%	25.20%	22.20%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | State, Local, and Other Governmental Programs (Excluding Medicare) [Member]
Net service revenues		$ 4,001	$ 639	$ 440
Concentration Risk, Percentage		5.70%	1.00%	0.80%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Other [Member]
Net service revenues		$ 2,061	$ 3,023	$ 2,647
Concentration Risk, Percentage		2.90%	4.30%	4.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member]
Net service revenues		$ 1,089,215	$ 856,581	$ 794,718
Concentration Risk, Percentage		100.00%	100.00%	100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | ILLINOIS
Net service revenues		$ 458,828	$ 441,012	$ 411,081
Concentration Risk, Percentage		42.10%	51.50%	51.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | NEW MEXICO
Net service revenues		$ 118,588	$ 115,381	$ 115,986
Concentration Risk, Percentage		10.90%	13.50%	14.60%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | TEXAS
Net service revenues		$ 216,712	$ 17,936	$ 0
Concentration Risk, Percentage		19.90%	2.00%	0.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | NEW YORK
Net service revenues	[1]	$ 0	$ 71,763	$ 92,469
Concentration Risk, Percentage	[1]	0.00%	8.40%	11.60%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | All Other States [Member]
Net service revenues		$ 295,087	$ 210,489	$ 175,182
Concentration Risk, Percentage		27.10%	24.60%	22.10%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member]
Net service revenues		$ 262,542	$ 228,191	$ 207,155
Concentration Risk, Percentage		100.00%	100.00%	100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | ILLINOIS
Net service revenues		$ 60,427	$ 52,560	$ 47,247
Concentration Risk, Percentage		23.00%	23.00%	22.80%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | OHIO
Net service revenues		$ 101,833	$ 84,811	$ 74,871
Concentration Risk, Percentage		38.80%	37.20%	36.10%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | NEW MEXICO
Net service revenues		$ 32,865	$ 28,532	$ 30,782
Concentration Risk, Percentage		12.50%	12.50%	14.90%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | All Other States [Member]
Net service revenues		$ 67,417	$ 62,288	$ 54,255
Concentration Risk, Percentage		25.70%	27.30%	26.20%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member]
Net service revenues		$ 70,773	$ 69,827	$ 56,778
Concentration Risk, Percentage		100.00%	100.00%	100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | ILLINOIS
Net service revenues		$ 7,171	$ 10,564	$ 12,851
Concentration Risk, Percentage		10.10%	15.10%	22.60%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | NEW MEXICO
Net service revenues		$ 34,724	$ 32,766	$ 32,949
Concentration Risk, Percentage		49.10%	46.90%	58.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | TENNESSEE
Net service revenues		$ 28,209	$ 26,497	$ 10,978
Concentration Risk, Percentage		39.90%	38.00%	19.40%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | All Other States [Member]
Net service revenues		$ 669	$ 0	$ 0
Concentration Risk, Percentage		0.90%	0.00%	0.00%

[1] As a result of changes and uncertainty in New York regarding the CDPAP, the Company determined that its New York personal care operations no longer fit its growth strategy and is divesting these operations. See Note 3 to the Notes to Unaudited Condensed Consolidated Financial Statements, Divestiture, for additional details regarding our divestiture.